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Published on: December 11, 2019
Sensitivity and specificity of handheld one lead ECG detecting atrial fibrillation in an outpatient clinic setting
Johan Malmqvist1, Johan Engdahl2, Gunnar Sjölund3
1Karolinska Institutet, Dept of Clinical Sciences, Danderyd University Hospital, Stockholm, Sweden; Dept of Clinical Physiology, Danderyd University Hospital, Stockholm, Sweden.
Insights
The Zenicor One handheld ECG demonstrated high accuracy in detecting atrial fibrillation (AF) in an outpatient setting. This device showed 98% sensitivity and 99% specificity compared to traditional 12-lead ECG.
Area of Science:
- Cardiology
- Medical Devices
Background:
- Atrial fibrillation (AF) is a common arrhythmia requiring accurate detection.
- Early diagnosis of AF is crucial for effective management and stroke prevention.
Purpose of the Study:
- To evaluate the sensitivity and specificity of the Zenicor One handheld electrocardiogram (ECG) device.
- To assess the diagnostic performance of the Zenicor One for AF detection in an outpatient clinical environment.
Main Methods:
- A prospective study involving 220 patients in outpatient clinics.
- Comparison of one-lead handheld ECG recordings with a 12-lead ECG as the gold standard.
- Dichotomous categorization of recordings as "atrial fibrillation" or "not atrial fibrillation" by senior cardiologists.
Main Results:
- The Zenicor One handheld ECG achieved 98% sensitivity in diagnosing atrial fibrillation.
- The device exhibited 99% specificity for atrial fibrillation detection.
- High agreement was observed between the handheld device and the 12-lead ECG.
Conclusions:
- The Zenicor One handheld ECG is a highly sensitive and specific tool for detecting atrial fibrillation in healthcare outpatient settings.
- This device offers a reliable alternative for AF screening and diagnosis.
- The findings support the clinical utility of the Zenicor One in routine patient care.
Aims:
To validate the sensitivity and specificity of the Zenicor One handheld ECG device for detection of atrial fibrillation in an outpatient clinical setting.
Methods And Results:
Patients attending outpatient clinics at Danderyd Hospital (n = 220) were examined with one lead handheld ECG immediately after standard care 12‑lead ECG recording. Twelve recordings were excluded (atrial flutter or pacing) or missing. The recordings were dichotomously categorized as "atrial fibrillation" or "not atrial fibrillation" by two senior cardiologists. In cases of diverging interpretations, a third senior cardiologist had the deciding vote. Sensitivity and specificity in diagnosing atrial fibrillation was calculated with 12‑lead ECG as gold standard. Sensitivity and specificity for diagnosis of atrial fibrillation with one lead handheld ECG and 12‑lead ECG as gold standard was 98% and 99% respectively.
Conclusion:
In a health-care outpatient setting, Zenicor One handheld ECG had high sensitivity and specificity for detection of atrial fibrillation when compared with 12‑lead ECG.
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